Psycho-Analysis and the War NeurosesFreud, Sigmund
History
Psycho-Analysis and the War Neuroses
Freud, Sigmund
Psychoanalysis; War neuroses
Evidence as regards the psycho-genesis rapidly accumulated. Schuster
and many other observers refer to the disproportion between the trauma
and its results on the nervous system. Severe neuroses arise from
minimal shocks, while it is just the severe wounds accompanied by great
shock that for the most part are not followed by nervous disturbances.
Kurt Singer lays still greater stress on the disproportion between
trauma and neurosis, and even endeavours to explain this fact
psychologically: “In the kind of psychic trauma that comes on in a
flash, in the terror, in the paralysing horror, we are concerned with
cases of difficulty or impossibility of adaptation to the stimulus”.
In a severe wound there is a discharge of the suddenly increased
tension without anything further; when, however, no severe external
injury exists the excessive affect is discharged “by means of a sudden
abreaction through physical phenomena”. As the Freudian expression
“abreaction” shows, psycho-analysis must have been in the mind of
the writer when he thought out this theory. The expression sounds
like a delayed response to the Breuer-Freudian conversion theory.
However, it soon appears that Singer represents this process far too
rationalistically; he looks upon the symptoms of the traumatic neuroses
as the result of an effort on the part of the patient to find a
comprehensible explanation of the (to him) inexplicable morbid process.
Thus the work of this author is still far removed from the dynamic
conception of the psychical processes of which psycho-analysis has
taught us.
Hauptmann, Schmidt and others drew attention to the relation in time
in the development of the symptoms in the war neuroses. If it is a
question of a mechanical injury then the effect should be strongest
immediately after the operation of the force. Instead of which one
finds that the men thrown into a state of shock still make purposive
endeavours to arrange for their safety the moment after the trauma,
such as to get to the dressing station, etc., and only after having
put themselves under safe conditions do they collapse and the symptoms
develop. In some cases the symptoms appear only when the men have to
return to the firing line after a period of rest. Schmidt is quite
right when he refers this conduct of the patients to the psychical
factors; he suggests that the neurotic symptoms develop only after the
state of a transitory disturbance of consciousness has disappeared
and the men who have suffered the shock re-experience in memory the
dangerous situation. We would say: These injured men behave like the
mother who rescues her child from a danger which threatens its life
with calm imperturbability and disregard of death, but faints after the
act has been accomplished. It is immaterial as regards the judgment
of the psychological situation that here the person saved was not a
beloved stranger, but the beloved person himself.
Public-domain text, read in full here on John Shaqi.
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